CPT code 92524 refers to behavioral and qualitative analysis of voice and resonance. The provider, typically a speech-language pathologist, evaluates the patient’s vocal quality, nasality, and behavior.
CPT code 92524 indicates whether or not the therapists provide adequate maintenance or rehabilitation services.
Rehabilitation therapy can be designed to restore or improve a person’s health and functionality according to the medical rules and guidelines for Speech-Language Pathology services.
It should be demonstrated that the patient requires and receives them and that the therapy should be adequate to receive reimbursement for rehabilitation therapy services.
These services can be measured by objective criteria such as patient progress notes, symptom decreases, or rationales for an optimistic prognosis.
Speech-Language Pathology services are by HHAs, CORFs, hospices, and outpatient hospital departments, as well as by doctors, NPPs, and private practice physical and occupational therapists.
In addition, when these services can be provided in connection with diagnosing or treating an accident or illness, these services should be covered if billed by rehabilitation service.
These services are closely tied to a treatment plan prepared by the attending physician, NPP, or speech pathologist. The Medicare Physician Fee Schedule can be intended to pay the costs of treating community patients, including outpatient speech-language pathology.
All therapeutic services, including speech-language therapy, require objective, clear, and brief documentation.
The clinical record should contain descriptive documentation explicitly tied to functionality and transportable to other fields. Medical necessity should not be proven if contradictory data from multiple areas or wildly varying abilities indicate an unstable state.
The previous level of functioning of the patient should be remembered and incorporated into the treatment plan to set fair expectations for the patient’s current condition.
Descriptions such as “mildly impaired to severely impaired” or “fair plus to good minus” should provide sufficient objective and quantitative information to evaluate a patient’s response to therapy. At the onset of treatment, it should be essential to document the patient’s discharge plan.
When a beneficiary’s treatment goals can be helped to maximize progress, maintain progress made, or stop or slow further deterioration due to a disease or illness (maintenance), and a reasonable expectation.
The report can be included hazards associated with having the receiver, a family member, another caregiver, or an unskilled professional as the service provider.
Maintenance therapy should be targeted to the outcomes expected to improve, and progress reports should indicate the therapist’s ability to do so.
The documentation of CPT code 92524 should include any developments, setbacks, and medical impacts deemed pertinent to the argument for continuing intervention.
92524 CPT Code Description
CPT code 92524 can be used in Speech-Language Pathology (SLP) services. Speech-Language, according to CMS. Pathology should be justified and mandated if the speech therapy conditions are met, and the necessary paperwork is supplied. The speech therapists’ services can be classified as either maintenance or rehabilitation.
The 92524 CPT code is officially described by CPT’s manual as: “Behavioral and qualitative analysis of voice and resonance.”
When a patient’s condition or the nature of the treatment can be required the expertise of a qualified speech-language pathologist, that service is covered. Non-covered services can be used in nursing care but are not covered by the policy.
CPT code 92524 can be used for speech-language pathology. The objective of rehabilitation can maximize the patient’s functional independence in light of the patient’s impairment.
Even if a family member or a home program eventually takes over patient care, the therapist’s competence may still be required at first to ensure the patient’s safety and the use of suitable modalities.
All insurance-covered speech-language pathology services should be clinically appropriate, medically required, and closely related to the patient’s current recorded treatment plan.
The treatment plan should be addressed specific therapeutic goals and identify the modalities and procedures used, including their type, frequency, and length. The doctor or NPP can be certified or approve the treatment plan.
To be compensated for SLP, the underlying ailment should be one for which it is widely used in medical practice. This necessity should be supported by solid textual evidence to be logical. For maintenance therapy, the papers must express clearly:
The therapist’s expertise should be necessary to provide a therapy service for CPT code 92524, if
- A safe and effective maintenance program should be established for a specific disease state
- Patients’ unique medical complications necessitate the therapist’s expertise.
The therapist should be required to maintain an objective and quantitative record of the patient’s functional limitations.
The therapist-medicated procedure can be documented for both short-term and long-term therapy goals.
SLP services should not be reimbursed if insufficient documentation demonstrates that the patient’s functional capacity or medical condition was significantly impaired, necessitating therapy.
How To Bill CPT 92524
If the CPT code 92524 procedure is performed and billed after a sound production and language evaluation (CPT code 91001), a report must be filed once the second evaluation is complete (CPT code 92523).
CMS clarified the reporting method by stating that therapists should report the second evaluation as if it were a one-time visit and use all three G-Codes from the code set for the functional restriction that most closely matches that for which the evaluative procedure was given. In this way, the primary applicable condition might function as designed.
CPT code 92524 should be a quantitative and qualitative evaluation of the patient’s voice and resonance and describe the patient’s comprehension of the vocal issue and pronator habits.
The audience can be perceived the pitch, volume, and quality of the speaker’s voice), according to Neolytix.
When billing for speech-language pathology services like CPT code 92524 can be delivered directly by a speech-language pathologist or as part of an outpatient speech-language pathology Plan of Care, providers can be added the modifier GN.
Does CPT Code 92524 Need A Modifier?
The following modifiers can be for Speech-language therapy as described by the 92524 CPT code.
GN Modifier: The GN modifier can be used to tell Medicare Part B services that are part of a speech-language pathology treatment plan.
Modifier 22: If the doctor believes that more effort than usual is required to provide the SLP, assign modifier 22. This significant additional effort should be justified in writing.
Modifier 52: When a speech therapy service should be reduced or omitted in part at the physician’s discretion, modifier 52 can be used.
Modifier 59: This modifier can be used for non-E/M services or processes relevant to the sound resonance issue but is not routinely reported concurrently.
Medicare Part B reimbursement will likely be lower for these treatments since they are seen as narrower subsets of the broader CPT code 92506.
Any time CPT code 92521 or 92524 can be added to CPT code 92523, the need is determined, summarized, and requested in the reimbursement procedure.
For example, a kid born with a cleft palate should require testing in the field of resonance.
The infant may require treatment according to the CPT codes 92523 and CPT 92524.
In the report, the SLP should document the CPT code 92524 requirements by describing the procedures and outcomes of the child’s resonance, speech sound, and language evaluations in light of the child’s diagnosis. The codes can be generated with various invoices, but only one report should be required.